Which point is most important for the nurse to include when teaching assistive personnel (ap) about protecting themselves from hiv exposure when caring for hiv-positive clients?

Answers

Answer 1

The most important point for the nurse to include when teaching assistive personnel (ap) about protecting themselves from HIV exposure when caring for HIV-positive clients is : to "wear gloves when in contact with clients' mucous membranes or nonintact skin."

The  HIV (human immunodeficiency virus) targets the immune system of the body. AIDS can develop from HIV if it is not treated (acquired immunodeficiency syndrome). There is currently no effective cure. Once people get HIV, they have it for life. But with proper medical care, HIV can be controlled.

In a range of clinical settings, including rehabilitation, nursing assistive personnel (NAP) significantly contribute to the care and welfare of patients.

The complete question is:

Which point is most important for the nurse to include when teaching assistive personnel (AP) about protecting themselves from HIV exposure when caring for HIV-positive clients?

a) "always wear a mask when entering an HIV-positive client's room."

b) "talk to the employee health nurse about starting pre-exposure prophylaxis."

c) "wear gloves when in contact with clients' mucous membranes or nonintact skin."

d) "wear full protective gear when providing any care to HIV-positive clients."

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Related Questions

Fulfilling unmet customer needs using an existing product or service is called ______.

Answers

Fulfilling unmet customer needs using an existing product or service is called differentiation. Thus, option (c) is correct.

What is product?

The thing being sold is called a “product.” A product and service market foundation. Items are divided into two categories: industrial products and consumer products.

The customer needs are opportunities for companies as using an existing product or service to differentiation. To satisfy the customer requires as the improved the services and increases revenue.

Therefore, option (c) is correct.

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Your question is incomplete, but most probably the full question was

a. durability

b. adaptation

c. differentiation

d. viability

Explain the relationship between ethnocentrism and communication issues among criminal justice professionals and the public.

Answers

The relationship between ethnocentrism and communication issues among criminal justice professionals and public is that high or low level of ethnocentricity can influence the ability of an individual to communicate successfully in an intercultural communications.

What is ethnocentricity and barriers of communication?

Ethnocentrism refers to the perceiving of the cultural belief and custom of themselves to be superior than of any others. When communicating, the attitude of ethnocentrism makes people from other cultures feel undervalued. This makes the communication unproductive or counterproductive due to miscommunication or communication gaps.

Ethnocentrism in criminal justice professionals may lead to grave miscarriages of justice as it may act as a huge barrier in communication and close down the other party or in this case the public.

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How many notes per syllable of text do you hear in the first line of ma fin est mon commencement?

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There are Lots of note per text Syllable we hear in the first line of ma fin est mon commencement

A syllable is a unit of organisation for a series of speech sounds that typically consists of a beginning and/or final margin, a syllable nucleus (which is most frequently a vowel), and other speech sounds (typically, consonants). Syllables are frequently seen as the phonological "building blocks" of words. They can affect a language's rhythm, prosody, poetic metre, and stress distribution. Speech may typically be broken down into a fixed number of syllables; for instance, the word "ignite" is made up of two syllables, "ig" and "nite."

Several hundred years before the invention of letters, syllabic writing initially appeared.

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According to the lesson, the articles did the minimum that was needed at the time: _____ and _____.

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According to the lesson, the articles did the minimum that was needed at the time: created a government and established the U.S. as independent and sovereign.

The Articles of Confederation served as the document that defined the functions of the US government after declaring independence from Britain. Article of Confederation was the first U.S. Constitution.

It served as a bridge between the original Revolutionary-era Continental Congress government and the federal government provided for under the 1787 U.S. established a federation of nations. The text was written between 1776 and 1777 and was approved by Congress on November 15, 1777. However, this document he was not fully ratified by the states until March 1, 1781.

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What percentage of the u.s. population has signed up to be an organ donor? aceable

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As indicated by an example of the U.S. populace, 90% of actually and generally grown-ups support organ gift however just 60% are really joined as donors.

What does Organ donation means?

Organ donation is the interaction when an individual permits their very own organ to be eliminated and relocated to someone else, lawfully, either by assent.

Donation might be for exploration or, all the more normally, solid transplantable organs and tissues might be given to be relocated into someone else. Normal transplantations incorporate kidneys, heart, liver, pancreas, digestion tracts, lungs, bones, bone marrow, skin, and corneas.

A few organs and tissues can be given by living contributors, like a kidney or some portion of the liver, a piece of the pancreas, part of the lungs or part of the digestion tracts, yet most donations happen after the giver has kicked the bucket.

Therefore To build the quantity of organ benefactors, particularly among underrepresented populaces, current methodologies incorporate the utilization of enhanced informal community intercessions.

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Even if you are better at unloading the dishwasher than your spouse, you shouldn't always be the one to unload it because?

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Even if you are better at unloading the dishwasher than your spouse, you shouldn't always be the one to unload it because you may be even better at some other household task and must consider the opportunity cost.

What is the opportunity cost?

This is the term that is used to refer to the benefit that is foregone because the person that is involved has gone with a different choice. It is the cost that is left because of the benefits that one is deriving from another choice.

Hence based on this question, you should not always be the one that would load the dish washer because it would mean that there are other tasks that you could do that you may have to leave at all times in order to load the dishwasher and you may be able to do these tasks better.

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Complete question

In discussing dividing up household​ chores, Emily​ Oster, an economist at the University of​ Chicago, advises​ that:

​"No, you​ shouldn't always unload the dishwasher because​ you're better at​ it."

​Source: Emily​ Oster, "The Wrong Person Is Probably Doing the Dishes in Your​ Home," Slate​, November​ 21, 2012.

Even if you are better at unloading the dishwasher than your​ spouse, you​ shouldn't always be the one to unload it because

a. absolute advantage is what matters for specialization not comparative advantage.

b. your spouse will act as a​ 'free rider' if you do all the work.

c. your opportunity cost of unloading the dishwasher is nonexistent.

d. you may be even better at some other household task and must consider the opportunity cost.

In both hemispheres, winds are generally ________ toward the equator from the tropics.
a. westerly
b. northerly
c. southerly
d. easterly

Answers

In both hemispheres, winds are generally Easterly toward the equator from the tropics.

What are hemispheres?

The Earth is split into two equal halves, or hemispheres, by any circle that is drawn around it. The Northern, Southern, Eastern, and Western hemispheres are widely thought to exist separately. The Earth is divided into the Northern and Southern hemispheres by the Equator, or line at latitude 0 degrees. North America, the northern third of South America, Europe, the northern two-thirds of Africa, and the majority of Asia are all located in the northern hemisphere. The majority of South America, one-third of Africa, Australia, Antarctica, and several Asian islands are all found in the Southern Hemisphere. Due to the Earth's seasonal tilt toward and away from the sun, the Northern and Southern hemispheres have different climates. The summer season in the Northern Hemisphere lasts from June through September. Summer starts in the Southern Hemisphere in December and lasts until March.

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Djustments made to oci and aoci to account for the tax effects of unrealized holding gains and losses on available-for-sale debt securities also give rise to _________. (select all that app

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Adjustments made to OCI and AOCI to account for the tax effects of unrealized holding gains and losses on available-for-sale debt securities also give rise to deferred tax liabilities as well as deferred tax assets

A deferred tax liability is a tax credit for the business that will need to be paid in the future, while a deferred tax asset is a tax credit for current taxes. Consider it as paying a portion of your taxes in advance (deferred tax asset) or adding on to your tax liabilities at a later time (deferred tax liability).

A deferred tax liability shows a future tax requirement or payment due, whereas a deferred tax asset shows a financial advantage. People who invest in typical 401k plans, for instance, make contributions to their accounts using pre-tax income.

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The main reason that the diseases of the old world overwhelmed populations in the new world was that:________

Answers

Answer:

The gene pool of the Old World was much larger than that of the New World. meaning Native American had fewer immunities.

What excuses are often used as to why literature by women of color is often not taught in college classes?

Answers

Excuses that are often used as to why literature by women of color is often not taught in college classes is because of most of the history of Western Europe, we are conditioned to view human differences as simple opposites:

dominant/subordinategood/bad,up/down, superior/inferior Women Redefining Difference Across Age, Race, Class, and Sex

There must always be some group of individuals that can be made to feel surplus and take the role of the dehumanized inferior through systematized oppression in a society where the good deeds are  defined in terms of profit rather than in terms of human need. That category in this culture is made up of Black and Third World individuals, as well as working-class individuals, senior citizens, and females. To provide them the ability to act responsibly and independently on behalf of their interests.

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Why do you think low-wage workers are reluctant to form labor organizations as ehrenreich discovered at wal-mart? how do you think employees should lobby to improve working conditions?

Answers

Low wage workers are reluctant to form labor organizations because they may fear that they will lose their jobs. Secondly, they may face hour cut backs or other reprimands, if they try to form any organization.

What was the discovery of Ehrenreich at Wal Mart?

Ehrenreich gave an example of fear inside the low wage workers that deters them from forming organizations, "Wal - Mart employees who have bucked the company by getting involved in a unionization drive or by suing the company for failing to pay overtime have been fired for breaking the company rule against using profanity."

For the people who work at low wage jobs, a job with an unfavorable conditions is still better than having no job at all.

Barbara Ehrenreich was an author in America and also a political activist. She was also a prominent figure in the Democratic Socialists of America in the 1980s. Some of her books are Nickel and Dimed (2001), Witches, Midwives and Nurses (1972), Fear of Falling (1989).

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Bowenian therapists often consider ____________________, to better understand the family's current presenting symptoms.

Answers

Bowenian therapists often consider the nature of being human than it is about families or family therapy, to better understand the family's current presenting symptoms.

What is Bowenian therapies?

The psychiatrist Murray Bowen created the Bowenian family therapy method of counseling. According to Bowen, negative behaviors can be passed down and lead to similar disputes in families through multiple generations.

This kind of therapy was developed by Bowen with the goals of promoting healthy family communication, ending destructive or toxic patterns, and encouraging healthy individual differentiation and autonomy within each member of the family. Bowenian family therapy employs communication skills to encourage healthy boundaries and connections within the family as well as an intergenerational lens to uncover these patterns.

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A soccer player running ten 120-yard sprints in under 20 seconds each, with a 1-minute walking recovery period between each sprint is an example of ________. group of answer choices

Answers

Answer:

A soccer player running ten 120 yard sprints in under 20 seconds each with a 1 minute walking recovery period between each sprint is an example of _________.

ANS :

Interval training

The soccer player's ten 120 yd sprints with 1-minute walking recovery periods exemplify interval training, combining high-intensity efforts with rest periods to improve cardiovascular fitness and performance. Thus, option C is correct.

Interval training, a dynamic duet of effort and rest, orchestrates a symphony of alternating high-intensity bursts and active recovery. Like a pendulum's swing, it propels heart rates upward during the vigorous intervals, then guides them gently back to ease during the rest periods.

This harmonious interplay stimulates the cardiovascular system, cultivating endurance, and amplifying performance. Athletes sculpt their bodies into finely-tuned instruments, capable of mastering the demands of the game or sport with finesse.

As the rhythm of interval training reverberates through training regimens, it transforms ordinary workouts into artful performances, composing a symphony of fitness and athletic prowess.

Thus, option C is correct.

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Most probably, your complete question is this:

A soccer player running ten 120 yd sprints in under 20 seconds each with a 1 minute walking recovery period between each sprint is an example of:

A. Continuous Training

B. Fartlek Training

C. Interval Training

D. Conditioning

In statistics, the uncertainty of a particular value is measured by the blank______.

Answers

In statistics, the uncertainty of a particular value is measured by the Standard Error.

What is the standard error?

The standard error refers the measurement of the uncertainty of a particular value. In a repeated study that observes the same conditions, the standard error will indicate how much variance the researcher can hope to see.

Some examples of the standard error are; Standard Error of the Mean, Standard Error of the Estimate, Standard Error of Measurement, Residual Standard Error, and Standard Error of Proportion. Scientists can use the standard error to interpret and calculate data accurately and precisely.

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The type of credibility when a speaker establishes common ground with the audience, supports an argument with believable evidence, and presents a well-delivered speech is:______.

Answers

The type of credibility when a speaker establishes common ground with the audience, supports an argument with believable evidence, and presents a well-delivered speech is derived credibility.

What is a derived credibility?

Derived credibility is the reputation an individual gains as a result of giving a speech; it is a result of the speaker's professionalism and the caliber of the speech. After giving a speech, an individual's credibility either increases or decreases.

Your perceived competence will increase if you provide the audience with clear justification and supporting data. Sincere and open communication with the audience will improve how they perceive you as a person.

Therefore, the type of credibility when a speaker establishes common ground with the audience, supports an argument with believable evidence, and presents a well-delivered speech is derived credibility.

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Our friend shaughne just found out that his scholarship will not cover his tuition and fees. which campus resource should he contact?

Answers

As Shaughne just found out that his scholarship will not cover his tuition and fees, he should contact Financial Aid Office.

A scholarship is a type of money given to students to help them continue their studies. Scholarships are given out according to a number of factors, including academic excellence, diversity and inclusion, athletic prowess, and financial necessity. Typically, scholarship requirements reflect the ideals and objectives of the award's grantor.

Although scholarship recipients are not required to pay back their awards, the awards may include additional conditions that must be met throughout the period of support, such as maintaining a minimum grade point average or participating in a specific activity (e.g., playing on a school sports team for athletic scholarship holders, or serving as a teaching assistant for some graduate scholarships).

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Infections with _____ are particularly problematic in burn patients. group of answer choices

Answers

Infections with Pseudomonas Aeruginosaare particularly problematic in burn patients. Option E

This is further explained below.

What is Pseudomonas Aeruginosaare?

Generally, Pseudomonas is a genus of Gram-negative, Gammaproteobacteria that is a member of the family Pseudomonadaceae and has 191 species that have been reported so far.

Because the members of the genus exhibit such a high level of metabolic diversity, they are in a position to successfully colonize a broad variety of ecological niches.

Pseudomonas aeruginosa is a common bacterium that is rod-shaped, encapsulated, gram-negative, aerobic–facultatively anaerobic, and aerobic–facultatively anaerobic. It is capable of causing illness in plants, animals, and people.

In conclusion, Infections caused by Pseudomonas Aeruginosa provide a unique set of challenges for people who have suffered burns. Alternative E

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complete question

Infections with _____ are particularly problematic in burn patients.

a. HIV

b. Escherichia coli

c. Clostridium tetani

d. Borrelia burgdorferi

e. Pseudomonas aeruginosa

For early cells the major source of carbon was _________ and the major fuel for energy was __________ .

Answers

For early cells, the major source of carbon was carbon dioxide, and the major fuel for energy was hydrogen.

What is a cell?

A cell is defined as the family is a human basic component that really can sustain life on itself and compensates for all life forms, including the bloodstream.

For getting a major source of energy, the person gets a take or a form of energy source the person needs carbon dioxide which forms the cell to process, and hydrogen which helps in the cellular respiratory system.

A number of processes are called cell respiration to convert glucose into ATP.

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What factors unique to healthcare delivery inhibit adoption of some industrial quality improvement techniques?

Answers

The factor in health care delivery impeding the adoption of some industrial quality improvement techniques is the variable condition and behaviors of patients.

What are the industry quality improvement techniques?

Since its creation in the 17th century, the industry has been in constant evolution to be more efficient and obtain higher profits for its products. To achieve constant improvement, companies have adopted methods of collecting, analyzing and correcting processes that allow them to be in constant evaluation.

Why do these techniques not work in the medical industry?

The principles of continuous improvement are not as useful in the provision of medical services because generally those methods of collecting, analyzing and correcting processes are based on repetitive and little changing processes.

However, the provision of medical services is characterized by variability due to the large number of illnesses and injuries that patients may have. Therefore, it is impossible to implement these processes because they do not have the capacity to accommodate this diversity of processes.

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Hich clinical finding would the nurse expect to encounter during a physical assessment of an infant with meningococcal meningitis?

Answers

The clinical findings that the nurse should expect to see in a physical assessment of an infant with meningococcal meningitis are disorientated behavior, heart bradycardia, papilledema, or neck stiffness.

What are the major signs of meningococcal meningitis in infants?

The major signs and or symptoms of meningococcal meningitis in infants are varied but they include heart problems such as bradycardia, papilledema (i.e., caused by an increased intracranial pressure), and or neck stiffness (i.e., muscles in the neck become strained or tense).

Meningococcal meningitis is a very serious disease caused by bacteria that affect nerve tissues including those that form part of the brain and also the spinal cord.

In conclusion, the clinical findings that the nurse should expect to encounter during a physical assessment of an infant with meningococcal meningitis include disorientated behavior, heart bradycardia, papilledema, or neck stiffness.

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Based on the results of the national surveys conducted in 2009 that were funded by the kaiser family foundation, identify a true statement about me dia use and screen time in adolescents' lives.

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Based on the results of the national surveys conducted in 2009 that were funded by the kaiser family foundation, identify a true statement about media use and screen time in adolescents' lives media use jumps more than 3 hours in early adolescence.

In line with the brand new model of figure-adolescent relationships, the following is a gain of regular negotiations and minor disputes. They help children emerge as more self-sufficient. that mother and father serve as important attachment figures and assist systems while teens explore a much broader, more complex social global.

Similarities between Anorexia Nervosa and Bulimia Nervosa Behaviors. A preoccupation with weight and body photos is located in each anorexia and bulimia ingesting issue. teenagers with anorexia nervosa or bulimia nervosa may additionally have a severe fear of gaining weight and a wildly inaccurate notion of self.

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Ng student is asked to set goals that will decrease the fetal death outcomes during delivery. what guidelines will the nursing student use to assist in setting her goals?

Answers

Guidelines used to assist in setting her goals will be the national goals for improving maternal and infant health are found in Healthy People 2020.

The thread that binds a patient's medical journey together is modern nursing. Nurses work relentlessly to recognise and safeguard the requirements of the individual throughout the whole patient experience and wherever there is someone in need of care.

Beyond the well-established reputation for compassion and dedication, there is a highly specialised field that is continually changing to meet societal needs. Nurses are crucial to preserving public health because they guarantee the most precise diagnoses and continuously educate the public about important health issues.

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Which collection method is often used in the pol when the urine requires no special preparation?

Answers

A random collection is the most method that is  is often used in the physician office laboratory when the urine requires no special preparation.

What is a random collection?

It is also known as a random sampling. This method of data collection is the simplest forms of collecting data from the total population.

Under a random sampling, each member of the subset carries an equal opportunity of being chosen as a part of the sampling process.

Therefore, the random collection is the most method that is  is often used in the physician office laboratory when the urine requires no special preparation.

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The laboratory setting is designed to be a(n) _______________ version of the real world.

Answers

The laboratory setting is designed to be a(n) experimental version of the real world.

What is the laboratory research?

This is the term that is used to refer to the research studies that are carried out in confined environments that are called laboratories. These types pf areas are known to be within the control of the researcher that has the power to control the variables used ion the research.

Hence we can say that the laboratory setting is designed to be a(n) experimental version of the real world.

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The goal of many interactive, digital entertainment activities is to make the user feel as if ______.

Answers

The goal of many interactive, digital entertainment activities is to make the user feel as if they are actors within the universe of the game.

What is digital entertainment?

A sort of entertainment made possible by electronic gadgets like computers and cellphones is known as "digital entertainment." It provides us with delight and enjoyment, just like any other form of entertainment. The accessibility of digital entertainment is one glaring distinction. Comparing watching a video at home on your smartphone to going to the movies is not the same. Digital material is becoming more and more diverse as technology advances. Being a part of the digital revolution causes the entertainment industry to change every day. A need for speed has developed in our society today. We demand speed, don't want things to take too long, want everything now, and want to consume as much as possible.

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wich is an example of a social context that may affect a person’s behavior?

Answers

Answer:

a person who is trying a new food in an unwelcoming or harsh environment might perceive the food as tasting bad and not like it in the future.

Explanation:

The puerto rican artist chemi rosado-seijo convinced the townspeople of naranjito to paint their homes different shades and tones of what color?

Answers

The Puerto Rican artist Chemi rosado-seijo convinced the townspeople of naranjito to paint their homes different shades and tones of  green.

Why did Chemi rosado-seijo ask people to paint their houses with the different shades of green?

Chemi Rosado was born in the area of Puerto Rico that is called Vega Atlas. He was born in the year 1973. He is known to have asked the people to use the color green for the paintings of their homes because he felt that doing this would make it to match with the colors of the mountains.

The community that he chose for the experiment was on an Island. The idea was for it to lead to self identification and integration in the village that he was from.

This act had the ability of being able to create the need for social and aesthetics differentiation in  the village.

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On what ground and in what terms did the sachems characterize their relationship to massachusetts bay colony?

Answers

The sachems characterize their relationship to massachusetts bay colony by believing in continuing their practices in North America.

They didn't necessarily had to abandon their previous traditions just because they moved to a new location with different customs. It was their responsibility to maintain familiarity and consistency in their behaviour as well as to continue to uphold their obligation to love their brothers in truth.

The Massachusetts Bay Colony made history by being the first colony with an English charter whose board of governors didn't dwell in the country. With no influence from the king or the Anglican Church, the settlers were able to uphold their Puritan religious beliefs thanks to their independence.

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The role of a counselor is to provide a safe and inviting environment in which clients can explore the congruence between their values and their behavior and also to:__________

Answers

A counselor's role is to provide a safe and inviting environment in which clients can explore the congruence between their values ​​and behavior and also teach and persuade their clients in the right way.

How important is a counselor?

In educational institutions, this professional has an active responsibility in the process of psychopedagogical guidance for students, since adolescence is a phase of life where there are new discoveries, doubts about the future and personality maturation.

A counselor is also responsible for conflict mediation and career guidance, by aligning the student's profile and skills to make better choices.

Therefore, an effective counselor is an individual capable of listening with empathy, having communication as one of his main characteristics, in addition to being an ethical individual and respecting the needs of his clients.

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What tool involves assessing the probability or relative frequency of an event against the aggregate severity of the loss?

Answers

Risk mapping tool involves assessing the probability or relative frequency of an event against the aggregate severity of the loss.

In an experiment or survey, frequency of an occurrence is that the number of times the event occurs divided by the full number of trials. As an example, if you observed passing cars and aggregate severity located that a number of them were red, the ratio would be . Divide the amount of events by the quantity of possible outcomes.

After determining the probability event and its corresponding outcomes, divide the whole number aggregate severity of how the event can occur by the entire number of possible outcomes. As an example, rolling a die once and landing on a 3 are often considered one event.

The probability of an occasion will be calculated by probability formula by simply dividing the favorable number of outcomes aggregate severity by the full number of possible outcomes. To calculate frequency, divide the quantity of your times the event occurs by the length of time.

The ratio definition is that the number of times a happening occurs during experiments divided by the quantity of total trials conducted. In other words, it tells you the way often something happens compared to any or all outcomes.

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Create a commercial video script that would show the importance of research in improvement of life. (HELP) Lucy's dog lost 6 pounds. How much weight does her dog have to gain in order to have a net change of 0 pounds? A psychologist has conducted a series of studies on which part of the brain is most active during a memory task. she is probably? 9. Assessment Practice Which pair ofequations show you how to find 16 9?A9+1 = 10, 10+5 = 15B 9+1=10,10+6=16C9+2=11,11 + 6 = 17D 9+1 = 10, 10+9 = 19. Answers 3.1 Activity 3 - Individual Assessment (Volumes) The head of each femur fits into the deep _____________ of each os coxae, helping to stablize the joint. Which basic production planning strategy avoids hiring and layoff costs and the costs of excess capacity? Suppose that unusually weather causes the demand curve for ice cream to shift to the . why will the price of ice cream to a new market-clearing level? The company acquired a machine on January 1 at an original cost of $ 81,000. The machines estimated residual value is $ 15,000, and its estimated life is 20,000 service hours. The actual usage of the machine was as follows:Year 1 9,000 hoursYear 2 5,000 hoursYear 3 4,000 hoursYear 4 2,000 hours Jada cuts an 11 inch strip of paper into 5 equal parts. How many inches long is each part? Exercise 1 Underline the verb in each sentence. In the blank, write T if the verb is transitive. Write I if the verb is intransitive. My aunt plays rugby every Sunday. ______________________ constitute by far the most abundant type of dna sequences found in the human genome. A barge filled with ore floats in a canal lock. if the ore is tossed overboard, the water level in the lock will? The nation of alpha does not take seriously the gathering and publishing of its economic statistics. this creates? who won Plessy v Ferguson 2. 100 grams of oil (specific heat capacity 2200 J/kg C) heated to 80C are addedto 200 grams of water (specific heat capacity 4200 J/kg C) at 20C. Find theresulting temperature. Assume heat loss to the surroundings is negligible. why did luther ultimately deny? what did he have to say about priesthood? Why are both men and women equal in the eyes of allah? 5 times a number is 36 less than the square of that number. Find the negative solution. What is DNA?DA) molecule that stores genetic informationB) molecule that aids in protein synthesisC) molecule of cellular energyD) long chain of amino acidsE) hydorphillic lipid